<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN""http://www.w3.org/TR/REC-html40/loose.dtd"><html lang="en"><head><title>Check #62 - Positive</title></head><body><form><label for="name">Name</label>: <br/><br/><input type="image" name="name" id="name" src="name.jpg" alt="photo"></form></body></html>